Individual
PRADEEP BANGALORE PRAKASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 496-4700
Mailing address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
72580-20
WI
208000000X
Pediatrics Physician
MD-41570
IA
2080P0203X
Pediatric Critical Care Medicine Physician
35943
WV
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
72580-20
WI
2080P0203X
Pediatric Critical Care Medicine Physician
MD-41570
IA
Other
Enumeration date
02/26/2014
Last updated
03/21/2026
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